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Angioplasty shows no benefit over thrombolysis

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7065.1102 (Published 02 November 1996) Cite this as: BMJ 1996;313:1102

Angioplasty is no better than thrombolysis in acute myocardial infection, according to the results from a major cohort study which look set to fuel the ongoing controversy about optimal management.

US researchers found no difference in mortality during admission or long term follow up between 1050 patients undergoing angioplasty and 2095 patients given thrombolysis (N Engl J Med 1996;335:1253-60).

Patients were selected from a cohort of over 12 000 consecutive patients admitted with acute myocardial infarction to 12 hospitals in Seattle between 1988 and 1994. Risk of death during admission was 5.6% in patients given thrombolysis and 5.5% in those undergoing angioplasty.

Dr Nathan Every from the Northwest Health Services research …

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